ATI RN
ATI RN Fundamentals 2023 Questions
Extract:
A nurse is caring for a client.
Vital Signs
0800:
Temperature 37.6° C (99.7 F) Blood pressure 108/56 mm Hg Heart rate 66/min Respiratory rate 18/min
Pulse oximetry 97% on room air 0830:
Temperature 37.5° C (99.5° F) Blood pressure 88/56 mm Hg Heart rate 104/min Respiratory rate 24/min
Pulse oximetry 93% on room air Nurses' Notes
0800:
Antibiotic administered as prescribed.
Bilateral breath sounds clear and present throughout. 0830
Client reports itching over the chest area and has urticaria over chest and trunk.
Client states tongue feels swollen
Question 1 of 5
Bilateral breath sounds with scattered wheezing upon auscultation, Select the 4 findings that require immediate follow-up.
Correct Answer: B,D,E,F
Rationale: Elevated heart rate is concerning but less urgent. Dropping blood pressure, urticaria, swollen tongue, and wheezing indicate anaphylaxis, requiring immediate intervention.
Extract:
Question 2 of 5
A nurse is preparing to reposition a client who has a lower back injury. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Rolling as one unit maintains spinal alignment, preventing further injury. Flexing knees or placing arms at sides aids comfort but isn’t primary. Positioning on the bed side aids movement but isn’t critical.
Question 3 of 5
A nurse manager overhears a nurse telling a client, 'I will administer your medication by injection if you don't swallow your pills.' The nurse manager should identify that the nurse is committing which of the following torts?
Correct Answer: A
Rationale: Assault is threatening harm, as here. Defamation is false reputation harm. Battery is unauthorized touching. Privacy invasion involves confidentiality breaches.
Question 4 of 5
A nurse is assessing a client who is receiving a blood transfusion. The nurse notes lung crackles, hypoxia, and distended neck veins. Which of the following actions should the nurse take?
Correct Answer: A,B,C
Rationale: High-Fowler’s improves lung expansion, oxygen addresses hypoxia, and stopping the transfusion halts potential circulatory overload. Diuretics may be needed later but aren’t immediate. Epinephrine is for anaphylaxis, not overload.
Question 5 of 5
A nurse is planning to change a client's tracheostomy ties. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Three fingers’ space is too loose. Quick-release knots aren’t standard. Extending the neck may cause discomfort. Cutting old ties after securing new ones prevents tube dislodgement.